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FILED by_=---- r' '' DISTRICT COURT SOUTHERN OISTRICT OF FLORIDA MAR 0 5 2002 LORETTA FABRICANT, on behalf of herself and all others similarly situated, Case No. ~~-~~~~-&IV&ORENO Plaintifis, (formerly 98-1281-CIV-NESBITT)

VS. ORDER DENYING MOTION FOR RECONSIDERATION '% '% ROEBUCK, et al. Defendants. / This cause comes before the Court upon the Sears and Defendants' Motion for Reconsideration of the Court's dismissal of the counterclaim alleging unjust enrichment. The motion to reconsider is denied beta-use the Court finds that the contract terms are contrary to public policy and thus void.

BACKGROUND

This case concerns the Defendantsr practice of marketing a package of credit life, disability, unemployment and leave of absence insurance coverage in cmnection with the Sears Credit Card called the Sears Credit Protection Plan ("SCPP") . Count I11 of Plaintiffsf Complaint alleges the following violations of Florida statutes regulating the sale'of insurance: (1) Defendants failed to make specific disclosures and obtain written acknowledgment of those disclosures required by § 627.679; (2) Defendants failed to submit applications for SCPP credit insurance with the Florida Department of Insurance as required by S 627.682; (3) Defendants failed to comply with the licensing requirements of S 626.321. a Second Amended Class Action Complaint ¶ 50-61. As a result of these violations of Florida law, Plaintiffs contend that the SCPP "insurance contracts between Defendants and Plaintiffs are illegal

and imenforceable." Id. at ¶ 58. As innocent parties to these illeqal contracts, Plaintiffs request restitution in the form of disgorgemcnt of all premiums paid under these allegedly illegal

contracts. Defendants Sears National Bank ("Sears"), Allstate Life Insurance Company and Allstate Insurance Company (collectively "Allstate") each asserted "conditional" counterclaims. See Sears

Roebuck & Co.'s and Sears National Bank's Amended Answer,

Affirmative Defenses and Counterclaims (D.E. # 288); Allstate Life Insurance Company's and Allstate Insurance Company's Amended Answer,

Affirmative Defenses and Counterclaims (D.E. #177). This Court dismissed all three counterclaims filed by Sears and both counterclaims filed by Allstate. See Order on Motion to Dismiss

Counterclaims (D.E. # 410) . 1

Both Sears and Allstate seek reconsideration of the Court's- - - Order dismissing one of these conditional counterclaims. The counterclaim at issue alleges that "in the event the Court . . . finds that the SCPP insurance policies are unenforceable or voidable, [Defendants] bring a conditional counterclaim against members of the class who have been unjustly enriched by receiving the benefit of the . . . SCPP insurance package. " Sears' Third Counterclaim ¶ 1; Allstate's Third Counterclaim 41 1. Defendants allege that class members received unjust enrichment in the form of both "peace of mind and claims paid to class members1 due to their enrollment in

SCPP." -Id. at ¶ 4. Defendants seek reconsideration of the order dismissing this counterclaim, contending that the Court erred in construing their counterclaim as seeking unjust enrichment due to void, rather than, as they assert, boidable contracts.

DISCUSSION

Reconsideration of a prior order is proper when the moving party establishes (1) an intervening change in controlling law, (2) availability of new evidence, (3) the need to correct manifest errors of law or fact, or (4) patent misunderstanding by the Court of the party's arguments. Z.K. Marine, Inc. v. M/V Archiqetis, 808 F. Supp. 1561, 1563 (S.D. Fla. 1992). The motion is not to be used "as a vehicle to present new arguments or evidence that should have been raised earlier, introduce novel legal theories, or repackage familiar arguments to test whether the Court will change its mind." proaodon v. National Healthcare Corv., 103 F. Supp. 26 1322, 1338 (N.D. Ga. 2000). The rationale for this rule prevents a litigant from having "two bites at the apple." American Home Assurance Co. v. Glenn Estess & Assocs., 763 F. 2d 1237, 1239 (11th Cir. 1985) . Defendants state that this motion proceeds under the third and

Persons who received monetary benefits in excess of the premiums paid are excluded from this class. fourth prongs. Accordingly, the Court will address only those arguments which attempt to correct alleged manifest errors of law and arguments addressing the Court's "misunderstandingu of the

Defendants' arguments. The central contention by Defendants of the Court's misunderstanding or manifest error of law is the premise of this conditional counterclaim - the effect of the Court finding the insurance policies "unenforceable." The condition precedent for the Court finding the policies "unenforceable" would be for the Plaintiffs to prove that the contracts violated the Florida statutes enumerated in Count I11 of the Complaint. If Plaintiffs prove the insurance contracts violated Florida law, then Defendants claim that the contracts become voidable, not void as Plaintiffs claim.'

The sole authority cited by Defendants for the proposition that these insurance contracts may only become voidable is Justice

Breyer's concurrence in Oubre v. Enterov O~erations,Inc., 522 U.S. 422, 431-432 (1998) (Breyer, J. concurring). In Oubre, Justice Breyer, relying primarily on the Restatement (Second) of Contracts, explained the difference between voidable versus void contracts. Justice Breyer concluded that the agreement at issue was only voidable, not void, because the statute impacting the validity of the contract reflected concerns about the conditions surrounding the

* Defendantsr motion for reconsideration essentially claims that Plaintiff's improperly pled Count I11 by seeking the wrong remedy.

4

178 (1). This requires a balancing of interests between the parties' interest in enforcement and the public policy against enforcement.

Id. at comment b. The public policy may be based on either (1) legislation3 or (2) the need to protect some aspect of public welfare. Restatement (Second) of Contracts § 179. Legislation is used "in the broadest sense to include anv fixed text enacted by a body with authority to promulgate rules, including not only statutes, but constitutions and local ordinances, as well as administrative regulations pursuant to them." Id. § 178 at comment

Defendants assert that the statute must specifically provide that the contract is void. Numerous Florida cases have found contracts or their terms void based on statutes that do not so provide expressly. As the Restatement itself explains, "only infrequently does legislation, on grounds of public policy, provide that a term is unenforceable." Restatement (Second) of Contracts § 178 at comment b. First, a statute is unnecessary to find the source of public policy; a Court may rely on its own perception of a need to protect some aspect of the publi~ welfare. Id. Alternatively, a court may rely on relevant legislation "although [the statute] says nothina explicitlv about unenforceability. " -Id. (emphagis added) . In contrast to Defendants' assertion, the opposite is presumed. The Supreme Court of Wisconsin explained this basic principle over a hundred and forty years ago: 'It is not necessary that the law should expressly say that a contract in violation of it shall be void. It is sufficient for [the statute] to prohibit and its invalidity follows as a legal consequence. " Aetna Ins. Co. v. Harvev, 11 Wis. 394 (1860) . This principle remains true today: '[Wlhere the legislative intent is uncertain or cannot be determined and when the statute is silent and does not provide to the contrary, a contract in contravention of [the statute] is void." Beard v. American Aaencv Life Ins. Co., 550 A.2d 677, 687 (Md. 1988) (finding an insurance contract void based on a statute that did not expressly provide that contracts in violation were void). Accordingly, if Defendants' insurance contracts contravene the statutory law of Florida, they may be deemed void. a (emphasis added); see also id. § 179 at comment b (explaining the

term legislation is the same for § 178 and § 179); 11 Fla. Jur. 2d

S 112 (explaining that a contract "in contravention of a statute . . . although not immoral, is equally invalid as with one that is malum in se") .' Therefore, Florida statutes governing the sale and marketing of insurance are an appropriate source of public policy. The insurance statutes upon which violations are alleged fall into three categories: (1) substantive deficiencies of the insurance contracts which failed to make the appropriate disclosures and obtain the requisite written acknowledgments mandated by Florida

law, (2) failure to obtain the necessary approval by the Department of Insurance to ensure that the forms complied with ~lorihalaw, and

(3) violation of licensing provisions, including the sale of insurance by unlicensed individuals. The public policy behind each of these statutes is clear. Regulation of the business of insurance is largely left in the hands of the states. Humana, Inc. v.

1

For the first time, Defendants cite 5 627.418 (1) in support of its position that insurance policies may not be rendered void unless expressly so provided by statute. A motion for reconsideration exists to correct manifest errors of law or fact or present newly discovered evidence, not to present authorities available at the time of the first argument t~ provide litigants a second "bite at the apple" by attempting to persuade the court through a different tact once the party discover the first set of arguments did not persuade. See Marine, Inc. v. M/V Archiaetis, 808 F. Supp. 1561, 1562 (S.D. Fla. 1992). Moreover, this statute does not address Defendants' counterclaim, but the viability of Plaintiff's claim in Count 111; nor does it suggest that the insurance contracts would be voidable, rather than void. Forsyth, 525 U.S. 299, 306 (1999) (explaining that the McCarran- Ferguson Act was left largely in the hands of the states and federal law applies only when the federal law does not directly conflict with state regulation or would when the federal law would not frustrate any declared state policy or interfere with a staters administrative regime). Thus, the State of Florida has a strong interest in enacting regulations governing the sale of insurance within its borders.

The disclosures and acknowledgments mandated by § 627.679 consist of substantive regulations of insurance by requiring certain information to be conveyed about the policy. Likewise, § 624.605 requires an insurance company to file and seek approval of insurance applications by the Department of Insurance to ensure compliance with the Florida insurance laws. While 5 624.605 appears procedural, it provide substantive protection to the public by enabling the Department of Insurance to review, monitor and ensure that an insurance company's pplicies and forms comply with the applicable statutes. Finally, the licensing requirements control who is allowed to sell insurance by indirectly ensuring compliance with substantive provisions - by requiring those selling insurance comply with the regulations or face the threat of loss of livelihood for failure to abide by those regulations. Each of these statutes serve to provide important protections for the public regarding the sale of insurance in this state. Defendants contend that the purpose, or performance, of the

contract must be criminal in order for the contract to be void,

rather than merely voidable. See Defendantr s Brief at 6. In

contrast, Florida law is clear that if a contract's "formation or

its performance is criminal, tortious or opposed to public policy,

the contract or bargain is illegal." Thomas v. Ratiner, 462 So. 2d

1157, 1159 (Fla. 3d Dist. Ct. App. 1984) (bold emphasis added) . The

Ratiner court determined that where the formation of the contract

violated a statute regulating solicitation, the entire agreement was

void ab initio. Id.; see also Spence Pavne Masinaton & Grossman,

P.A. v. Phili~M. Gerson, P.A., 483 So. 2d 775, 776, 777 (Fla. 3d

Dist. Ct. App. 1986) (same) . Similarly, sections 627.679 and 624.605 regulate the formation of insurance contracts: insurers must provide certain disclosures and obtain certain acknowledgments from the insureds and must file application forms and use forms approved by the Department of Insurance in order to issue a valid insurance policy. 1

Numerous decisions construing insurance contracts have heid that public policy is violated by an insurance policy that defeats the purpose and intent of an insurance statute and such provisions

Likewise, this principle is neither new nor unique. Nearly a century and a half ago, the Supreme Court of Wisconsin similarly declared an insurance policy void where an insurance company had failed to comply with the provisions of the statute requiring the making of a contract in a manner specified by the statute. Aetna Ins. Co. v. Harvev, 11 Wis. 394, 394 (1860) . are nugatory and void. Government Emplovees Ins. Co. v. Farmer, 330

So. 2d 236, 237 (Fla. 1st Dist. Ct. App. 1976); e.s. Green v. Life

& Health of America, 704 So. 2d 1386, 1389 (Fla. 1998) (quoting Kinq v. Allstate Ins. Co., 906 F.2d 1537, 1540 (11th Cir. 1990) (explaining that the statutory provisions of the insurance code can serve to void the contrary provisions of the policy) ) . As the Florida Court of Appeal explained forty years ago, "it would serve no purpose to pass such regulatory acts if parties could with impunity violate them." Schaal, 135 So. 2d at 257. If the insurance policies here failed to comply with the applicable insurance statutes governing the formation of insurance contracts, these policies are subject to the general rule regarding illegal contracts - they are void. Another court in this district recently determined that the disclosures and written consent mandated by § 627.679 served the important 'stated purpose of protecting borrowers from 'duplication or overlapping of insurance coyerage.'" London v. Chase Manhattan Bank, No. 99-1298-CIV-UNGARO-BENAGES, slip. op. at 24 (S.D. Fla.

Aug. 9, 2001). The London court concluded that defendants' violation of 5 627.679 entitled plaintiffs to restitution of paid premiums for selling credit life and disability insurance in violation of that statute. Id. at 25. Other states have likewise concluded that failure to comply with formation requirements of the insurance code requiring written consent renders the entire policy void ab initio. E.q. Hilfiqer v. Transamerica Occidental Life Ins. h,505 S.E.2d 190, 193 (Va. 1998) (finding that failure to obtain written consent in compliance with the statute made the policy void ab initio); Time Ins. Co. v. Lamar, 393 S.E.2d 734, 735 (Ga. App. 1990) (finding that a contract violating the statutory requirement of written consent is void ab initio); see Dukes v. Household Finance Corp., 224 S.E.2d 107, 108 (Ga. App. 1976) (explaining that failure to provide a written itemized statement as required by Georgia law would void the group credit life and disability insurance contract); Schaal, 135 So. 2d at 257 (finding oral contract for plaintiff's advertising services void based on statute requiring written authorization of expenditures for political campaigns). Accordingly, if this Court concludes that these-

Defendants violated § 627.679 by failing to make the requisite disclosures or obtain appropriate written consent in connection with the sale of the SCPP, then the insurance is properly considered void. d The Florida Court of Appeal has made clear that failure to file insurance forms with and have the forms approved by the Department of Insurance renders the policy null and void. American Mutual Fire Ins. Co. v. Illinuworth, 213 So.2d 747, 749 (Fla. 2d Dist. Ct. App.

1968); see also Hawkins Chemical, Inc. v. Westchester Fire Ins. Co., '159 F.3d 348, 352 (8th Cir. 1998) (explaining that an insurance policy or exclusion not filed with the Commissioner of Insurance is unenforceabl-eunder Minnesota law) . The Illinaworth court construed

Florida Statute 627.01091 [now § 627.410(1)Il6which prohibited the delivery or issuance of any insurance policy, annuity contract, application form, printed rider, endorsement form or form of renewal certificate unless filed with and approved by the commissioner. && The insurance company attempted to refuse coverage based on an exclusionary endorsement form that the insurance company had failed to file the with the insurance commissioner as the statute required. -Id. at 747, 750. The Florida Court of Appeal determined that "any endorsement written on the unapproved form must be rendered void."

J& J& at 750. This Court is asked to interpret S 627.682, which

At the time of Illinaworth, § 627.01091 provided: No basic insurance policy or annuity contract form, or application form where written application is required and is to be made a part of the policy or contract, or group certificates issued under master contracts delivered in this state, or Printed rider or endorsement form or form of renewal certificate, shall be delivered or issued for deljvery in this state, unless the form has been filed with and approved by the commissioner. This provision shall not apply to surety bonds, or to specially rated inland marine risks, nor to policies, riders, Endorsements, or forms of unique character designed for and used with relation to insurance upon a particular subject (other than as to disability insurance), or which relate to the manner of distribution of benefits or to the reservation of rights and benefits under life or disability insurance policies and are used at the request of the individual policyholder, contract holder, or certificate holder. As to group insurance policies effectuated and delivered outside this state but covering persons resident in this state, the group certificates to be delivered or issued for delivery in this state shall be filed with the commissioner for information purposes only at his request.

In 1971, this section was renumbered as 5 627.410. similarly requires that "[all1 forms of policies, certificatess of insurance, statements of insurance, applications for insurance ... of credit life or disability insurance shall be filed with an

approved by the department before use as provided in 55 627.410 and

627.411." Fla. Stat. Ann. 5 627.682. Section 627.682 does not merely employ a similar statutory scheme as the one at issue in Illinuworth, it expressly refers to the same statute at issue in

Illinqworth and requires filing and approval "as provided in" § 627.410. As Illincrworth held that failure to file and obtain approval of the form rendered the policy on an unapproved form void, Illinqworth, 213 So.2d at 749, then a violation of 5 627.682 likewise renders the policy based on an unapproved form void.

Accordingly, if Defendants violated 5 627.682 by failing to file and obtain approval of the SCPP forms, then the insurance is void. Florida law is well-settled that failure to obtain the requisite licenses to conduct business renders the contracts made by the unlicensed to perform Aicensed services illegal and void.

Vista Desiqns v. Silverman, 774 So. 2d 884, 885 (Fla. Dist. Ct. App. 2001) (requiring unlicensed attorney to disgorge the funds received from client through a contract that was void ab initio due to illegality); Steinbera v. Brickell Station Towers, 625 So. 2d 848,

849 (Fla. Dist. Ct. App. 1993) (finding contract by unlicensed mortgage broker illegal and void); see also In re Ri~onCitv, 102 F. 176, 183 (5th Cir. 1900) ("any contract which undertakes ... to put in charge ... any unlicensed person -- no matter how well qualified otherwise ... -- ought to be held void"). See senerallv Annot., Recoverv Back of Monev Paid to Unlicensed Person Required bv Law to Have Occugational or Business License or Permit to Make

Contract, 74 A.L.R.3d 637 (1976). The broad basis for the doctrine that contracts of certain unlicensed persons are unenforceable is that the courts should not lend their aid to the enforcement of contracts where performance would tend to deprive the public of the benefits of regulatory measures. Cooper v. Paris, 413 So. 2d 772, 773 (Fla. Dist. Ct. App. 1982)

(citing Williston on Contracts, § 1765, p. 247). Likewise, the Restatement advises that a party's failure to comply with a licensing requirement may support a finding of unenforceability on grounds of public policy. Restatement (Second) of Contracts § 181.. A licensing requirement designed to protect public welfare provides greater weight to a finding of "illegality." -Id. at comment c. The licensing of insurance agents, like the licensing of attorneys, doctors and mortgage brokers, iq designed to protect the public from being victimized by incompetent or unethical pzofessionals. Manasement Com~ensatianGrow v. United Securitv Emplovee Proarams, Inc., 389 S.E.2d 525, 527 (Ga. App. 1989) (finding that contracts made in violation of statutes requiring life insurance agents to be licensed were void and the violating party could not recoverj; see -also NcLarnb v. Phillips, 129 S.E. 570, 570 (Ga. App. 1925) (explaining that where the license is not imposed only for revenue purposes, but to protect the public from improper, incompetent, or irresponsible persons, violating the licensing statute renders the contract void and unenforceable) .7 Accordingly, if the sale of SCPP insurance package violated § 626.321, it may serve as a basis for declaring the contract void. Defendants contend that a determination that the Plaintiffsf coverage is void will somehow void the coverage of non-class members - presumably those who choose to opt-out or those excluded from the class - and therefore, such a result demands a determination that the policies are only voidable if they violate Florida law. This argument is a chimera. Once again, this Court applies the basic principles of contract law to insurance. Generally, a party may not seek restitution for performance rendered under an illegal contract.

Fabricant v. Sears Roebuck & Co., 202 F.R.D. 306, 309 (S.D. Fla.

2001) (citing Restatement (Second) of Contracts 5 197). Plaintiffs .- . proceed under an exception to this general rule - that they are innocent parties to the illega1,contract - that allows them to seek restitution. Id. The insured party is entitled to seek restitution when they are not in pari delicto with the insurer and are the party for whose protection the statute was enacted. Latham Mercantile &

Commercial Co. v. Harrod, 81 P.2d 214, 216 (Kan. 1905). The basic

Again for the first time, Defendants suggest that § 626.141 would prevent recovery based on violations of § 626.321. Even if this is true, this only attacks the viability of Plaintiff's claim; it does not suggest that if that the insurance contracts would be merely voidable, rather than void. rationale is one of fairness and efficiency based on the different positions of the parties: [Tlhe party insured cannot, without great difficulty, discover whether the insurer has complied with all the statutory requirements or not ... it would be unreasonable to require every person to whom a corporate insurer offers a contract of insurance should make an exhaustive investigation in order to discover whether his co-contractor has been fully qualified to make the agreement that is proposed . . . [TI he insured has the right to presume that the insurer has complied with all the requirements of law.

Robinson v. Life Co., 79 S.E. 681, 684 (N.C. 1913) (quoting Vancers

Treatise on Insurance) ; see also Hvde Ins. Aaencv, Inc. v. Dixie Leasina Cor~.,215 S.E.2d 162, 166 (N.C. App. 1975) (quoting and relying on the soundness of this rationale). In contrast, these counterclaims state no exception to the general rule that would permit Defendants a valid claim for restitution. More importantly, the exception under which the Plaintiff Class proceeds is not available to the Defendants against- the insureds whether members of this class or not. If a non-class member chooses 5 not to allege a claim against Defendants based on these violations, then in order for that policy to be declared void, Defendants would have to claim that the contract is illegal in an attempt to avoid coverage. Not surprisingly, other courts have addressed the situation of an insurance company attempting to avoid payment based on the insurance company's own failure to comply with a statute. The same rationale allowing the insured's recovery does not apply to allow the insurer to avoid coverage based on its "own infraction of the law." Id. For nearly a hundred years, "the great weight of authority" has precluded insurance companies from seeking to avoid payment for coverage based on their own violation of the law. a;Winston-Norris Co. v. Kinq, 249 P. 319, 321 (Ok. 1926) (citing Phenix Ins. Co. v. Pennsvlvania Co., 33 N.E. 970 (Ind. 1893)); see Hvde Ins. Aaencv, 215 S.E.2d at 166 (concluding that this "rationale is sound" and finding that where insured did not knowingly engage in conduct by statute, insurer could not plead illegality to benefit from own wrongdoing). An insurer is thus estopped from pleading illegality to escape liability. Id. (quoting Robinson, 79 S.E. at 784). As applied here, Defendants are estopped from utilizing the - illegality of these contracts based on their own infractions to the detriment of the policy holders. Estoppel not only prevents Defendants from seeking restitution from class members based upon Defendants' own violations of these Florida statutes, but also prevents Defendants from denying coverage to those insured parties who are not part of this action, Accordingly, these counterclaims were properly dismissed by Judge Nesbitt. CONCLUSION

Accordingly, it is hereby ORDERED and ADJUDGED that Def endantsf Motion for Reconsideration (D.E. #412) is DENIED. c- DONE and ORDERED, in Chambers, Miami, Florida, this 7 , day of March, 2002.

cc: Counsel for Plaintiffs Michael A. Hanzman, Esq. Hanzman, Criden, Chaykin & Rolnick, P.A. 220 Alhambra Circle, Suite 400 Coral Gables FL 33134

Robert Hertzberg, Esq. 100 S.E. 2nd Street, Suite 3550 Miami FL 33131

Robert Ader, Esq. 100 S.E. 2nd Street, Suite 3550 Miami FL 33131

Counsel for Defendants Sears Roebuck & Sears National Bank James C. Schroeder, Esq. Mayer, Brown & Platt 190 S. La Salle Street IL 60603 1

Jeffrey B. Shapiro, Esq. Arnstein & Lehr 201 S. Biscayne Blvd., Suite 400 Miami FL 33131

Counsel for Defendants Allstate Insurance Com~anv& Allstate Life Insurance Com~anv Joel S. Feldman, Esq. Sachnoff & Weaver, Ltd. 30 S. Wacker Drive, 29th Floor Chicago IL 60606

Anthony H. Pelle, Esq. Katz, Barron, Squitero & Faust, P.A. 2699 S. Bayshore Drive, 7th Floor Miami FL 33133